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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02799095
Registration number
NCT02799095
Ethics application status
Date submitted
1/06/2016
Date registered
14/06/2016
Titles & IDs
Public title
A Study of the Effects of ALKS 4230 (Nemvaleukin Alfa) on Subjects With Solid Tumors
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Scientific title
A Phase 1/2 Study of ALKS 4230 Administered Intravenously as Monotherapy and in Combination With Pembrolizumab in Subjects With Advanced Solid Tumors - ARTISTRY-1
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Secondary ID [1]
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ALK4230-A101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced Solid Tumors
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ALKS 4230
Treatment: Drugs - ALKS 4230 + pembrolizumab
Experimental: ALKS 4230 -
Experimental: ALKS 4230 + pembrolizumab -
Treatment: Drugs: ALKS 4230
Intravenous (IV) infusion over 30 minutes given daily for 5 consecutive days followed by an off-treatment period
Treatment: Drugs: ALKS 4230 + pembrolizumab
IV infusion of ALKS 4230 over 30 minutes given daily for 5 consecutive days followed by an off-treatment period; pembrolizumab administered IV once with ALKS 4230 on the first day of each cycle
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Characterization of adverse events (AEs) and dose-limiting toxicities (DLT) in study Part A
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Assessment method [1]
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Incidence of AEs that are both serious and drug-related
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Timepoint [1]
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From time of initiation of therapy until 30 days after last dose of study drug, assessed up to 24 months
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Primary outcome [2]
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Incidence of drug-related AEs in study Part B
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Assessment method [2]
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Incidence of AEs that are drug-related
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Timepoint [2]
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From time of initiation of therapy until 30 days after last dose of study drug, assessed up to 24 months
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Primary outcome [3]
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Overall response rate (ORR) of ALKS 4230 monotherapy in patients with melanoma or renal cell carcinoma (Part B) and in combination with pembrolizumab in patients with advanced solid tumors (Part C)
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Assessment method [3]
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Proportion of patients with the confirmed overall response of complete response or partial response
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Timepoint [3]
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From time of initiation of therapy until 30 days after last dose of study drug assessed up to 24 months
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Secondary outcome [1]
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Disease Control Rate
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Assessment method [1]
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Proportion of subjects with objective evidence of CR, PR, or Stable Disease (SD)
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Timepoint [1]
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From time of initiation of therapy until the date of first documented tumor progression, assessed up to 24 months
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Secondary outcome [2]
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Duration of response in subjects with CR/iCR or PR/iPR
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Assessment method [2]
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Time from the first documentation of response (CR/iCR or PR/iPR) to the first documentation of objective tumor progression or death due to any cause
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Timepoint [2]
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From time of initiation of therapy until the date of first documented tumor progression, assessed up to 24 months
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Secondary outcome [3]
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Serum concentrations of ALKS 4230 will be determined at various time points
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Assessment method [3]
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Concentration vs time and standard pharmacokinetic (PK) parameters will be summarized by dose level
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Timepoint [3]
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From time of initiation of therapy until the last treatment cycle, assessed up to 24 months
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Secondary outcome [4]
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Serum will be assayed for the presence of anti-ALKS 4230 antibodies
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Assessment method [4]
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Results will be summarized by dose level
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Timepoint [4]
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From time of initiation of therapy until the last treatment cycle, assessed up to 24 months
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Secondary outcome [5]
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Immunophenotyping of peripheral blood mononuclear cells will be performed by flow cytometry at various time points
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Assessment method [5]
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Results will be summarized by dose level
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Timepoint [5]
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From time of initiation of therapy until the last treatment cycle, assessed up to 24 months
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Secondary outcome [6]
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Serum concentrations of proinflammatory cytokines will be assessed using a multiplex method at various time points
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Assessment method [6]
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Results will be summarized by dose level
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Timepoint [6]
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From time of initiation of therapy during the first two treatment cycles, assessed up to 2 months
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Eligibility
Key inclusion criteria
* For Part A, the subject has histological or cytological evidence of a solid tumor; for Part B, the subject has a diagnosis of melanoma or renal cell carcinoma
* All subjects must have advanced solid tumors that have returned after treatment with established approved therapies or be intolerant of established therapies
* Subjects enrolled in Part B or Part C must have at least 1 lesion that may qualify as a target lesion
* Subject can move around on their own, has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1, and has an estimated life expectancy of at least 3 months
* Subject must have adequate hematologic reserve
* Subjects must have adequate liver function
* Subjects must have adequate kidney function
* Subjects must be recovered from the effects of any prior chemotherapy, immunotherapy, other prior systemic anticancer therapy, radiotherapy or surgery
* Subjects who have received investigational agents must wait at least 4 weeks
* Females of childbearing potential must have a negative pregnancy test within 7 days of the start of treatment and on Day 1 before the first dose is administered. A female not of childbearing potential is one who has undergone bilateral oophorectomies or who is postmenopausal, defined as >45 years of age and without a menstrual period for 12 consecutive months
* Meets contraceptive requirements defined in the protocol
* Additional criteria may apply
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Subject is currently pregnant or breastfeeding, or is planning to become pregnant during the study
* Subjects with an active infection or with a fever >/= 38.5 degrees C within 3 days of the first scheduled day of dosing for Cycle 1
* Subjects with active or symptomatic central nervous system metastases are excluded. Subjects with central nervous system metastases are eligible for the study if the metastases have been treated by surgery and/or radiation therapy, the subject is off corticosteroids for at least 2 weeks and the subject is neurologically stable
* Subjects have a mean QT interval corrected by the Fridericia Correction formula value of >470 msec (in females) or >450 msec (in males)
* Subjects with known hypersensitivity to any components of ALKS 4230
* Subjects with known hypersensitivity to any components of pembrolizumab (for patients in combination arm only)
* Subjects who require pharmacologic doses of corticosteroids; replacement doses, topical, ophthalmologic, and inhalational steroids are permitted
* Subjects who developed autoimmune disorders while on prior immunotherapy, including pneumonitis, nephritis, and neuropathy
* Subjects with any other concurrent uncontrolled illness, including mental illness or substance abuse, which may interfere with the ability of the subject to cooperate and participate in the study
* The subject is known to be positive for human immunodeficiency virus (HIV), hepatitis B or C, or active tuberculosis, or has a known history of tuberculosis
* Subjects with dyspnea at rest of requiring oxygen therapy
* Subjects active autoimmune disease requiring systemic treatment within the past 30 days
* Subjects who received radiotherapy within the last 4 weeks before start of study treatment administration with the exception of limited field palliative radiotherapy
* Subjects who have received systemic immunomodulatory agents within 28 days prior to C1D1.
* Subjects who have received administration of a live, attenuated vaccine within 4 weeks of Cycle 1, Day1.
* Prior solid organ and/or non-autologous hematopoietic stem cell or bone marrow transplant recipients
* Subjects who have received prior IL-2 based or IL-15 based cytokine therapy
* Additional criteria may apply
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
2/08/2023
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Sample size
Target
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Accrual to date
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Final
243
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Mural Oncology Investgational Site - Albury
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Recruitment hospital [2]
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Mural Oncology Investigational Site - Waratah
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Recruitment postcode(s) [1]
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2640 - Albury
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Recruitment postcode(s) [2]
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2298 - Waratah
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Colorado
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Country [2]
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United States of America
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State/province [2]
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Florida
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Country [3]
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United States of America
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State/province [3]
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Kentucky
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United States of America
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State/province [4]
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Massachusetts
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United States of America
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Michigan
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United States of America
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State/province [6]
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New York
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Country [7]
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United States of America
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State/province [7]
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Ohio
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Country [8]
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United States of America
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State/province [8]
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Texas
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Country [9]
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United States of America
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State/province [9]
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Virginia
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Country [10]
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United States of America
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State/province [10]
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Washington
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Country [11]
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Belgium
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State/province [11]
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MO
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Country [12]
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Belgium
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State/province [12]
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West-Vlaanderen
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Country [13]
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Canada
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State/province [13]
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Alberta
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Country [14]
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Canada
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State/province [14]
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Ontario
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Country [15]
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Canada
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State/province [15]
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Quebec
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Country [16]
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Korea, Republic of
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State/province [16]
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Daejeon
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Country [17]
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Korea, Republic of
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State/province [17]
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Seoul
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Country [18]
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Poland
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State/province [18]
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Poznan
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Country [19]
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Spain
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State/province [19]
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Barcelona
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Country [20]
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Spain
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State/province [20]
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Madrid
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Country [21]
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Spain
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State/province [21]
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Valencia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Mural Oncology, Inc
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
To better understand the safety and tolerability of ALKS 4230 in humans
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Trial website
https://clinicaltrials.gov/study/NCT02799095
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Medical Director
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Address
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Mural Oncology
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
At this time, IPD sharing has not been defined and/or decided if it will be shared.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02799095